Nikelekam T-waves

Results:
Weekly Workout April 8, 2024
Interesting Cases from UMMC, Part II

A 58-year-old man presents to the emergency department with acute chest pain and shortness of breath. The following ECG is obtained:

ECG STAT January 14, 2024
Hypokalemia

Key Points Hypokalemia can be life threatening and it is important to recognize the ECG patterns that are suggestive of severe hypokalemia. Severe hypokalemia can also cause ST segments abnormalities…

ECG STAT January 14, 2024
Hypokalemia Emergencies

Key Points Hypokalemia can be life threatening and it is important to recognize the ECG patterns that are suggestive of severe hypokalemia. Severe hypokalemia can also cause ST segments abnormalities…

Weekly Workout December 24, 2018
Reverse Wellens Waves: not all biphasic T waves are indicative of ACS!

A 25-year-old woman presents to the emergency department with lightheadedness and palpitations for 1 week. Her symptoms worsened today with a near-syncopal episode. She is thin/frail and dehydrated in appearance….

Weekly Workout October 14, 2018
Differential Diagnoses: a triad of long QT interval, PVC’s, & ST segment depression

A 56-year-old woman presents to a busy ED dehydrated with acute gastroenteritis. She is placed in a hallway bed and treated with IV fluids and ondansetron. On reassessment the patient…

Weekly Workout December 3, 2016
Generalized weakness with biphasic T waves in the anterior leads

A young man presents to the ED with generalized weakness. The following ECG is obtained:

Weekly Workout February 9, 2015
Differential Diagnoses: long QTc interval

HPI: 32-year-old female with PMHx of hyperthyroidism (on carbimazole) presents with jaundice and intermittent palpitations. She has mild RUQ abdominal pain, but is otherwise well. Vitals: HR~100, BP-130/70, RR-18, afebrile. Exam:…

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